Warren, Tina Marie

Warren, Tina Marie is an individual health care provider with primary practice located at 9785 Crosshill Blvd Ste 108 , Jacksonville FL 32222-5823. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Warren, Tina Marie can be contacted via phone (904) 772-6522.

Contact Information

Primary practice address
9785 Crosshill Blvd Ste 108 Jacksonville FL 32222-5823
Phone: (904) 772-6522
Fax: (904) 772-6553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH7593 Florida

Profile Details

NPI number 1528039153
LBN Legal business name Warren, Tina Marie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Dec 31st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528039153 NPPES
Florida MEDICAID 381601000
Florida Other P00007425
Florida Other 55876

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